Actinic Granuloma Arising from the Pulsed Dye Laser-Treated Skin in a Patient with Capillary Malformation

214 Ann Dermatol Received September 5, 2013, Revised April 14, 2014, Accepted for publication May 12, 2014 Corresponding author: Kyung Eun Jung, Department of Dermatology, Eulji University Hospital, Eulji University School of Medicine, 95 Dunsanseo-ro, Seo-gu 302-799, Korea. Tel: 82-42-611-3037, Fax: 82-42-259-1111, E-mail: [email protected] This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. closely followed up because BCC treated with radiotherapy recurs more often than that treated with Mohs micrographic surgery; Rowe et al. reported that the 5-year recurrence rate of radiotherapy-treated disease is higher (9.8%) than that of Mohs micrographic surgery (5.6%). Also, the potential for radiogenic toxicity in the skin should not be ignored, especially when it might cause severe functional discomfort. In summary, we describe a rare case of BCC that presented as a perianal ulcer. Dermatologists should consider BCC in the differential diagnosis of a painless, ulcerated lesion on the perianal area. We also suggest considering radiotherapy in cases of BCC in the perianal area when surgical treatment is not possible. REFERENCES